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对感染艾滋病毒者不规范使用避孕套行为的个案研究。

The idiographic study of inconsistent condom use behavior of persons living with HIV.

作者信息

Barta W D, Kiene S M, Tennen H, Abu-Hasaballah K S, Ferrer R

机构信息

University of Connecticut, Department of Psychology and Center for Health, Intervention, and Prevention, Storrs, Connecticut 06269, USA.

出版信息

AIDS Care. 2007 Sep;19(8):1058-64. doi: 10.1080/09540120701294252.

DOI:10.1080/09540120701294252
PMID:17852005
Abstract

A pilot study was conducted to assess the feasibility of using, in a multiply disadvantaged population, an electronic daily diary to test hypotheses linking affective states to variability in psychosocial determinants of condom use. Twenty-one mostly non-Caucasian individuals reporting profound economic disadvantage, heavy alcohol use and HIV infection completed a 5-7 minute interactive voice response (IVR) telephone-based survey daily for three weeks. Potentially affect-related within-person variability was observed in HIV-preventive attitudes, intentions and self-efficacy. Surprisingly, in this sample, HIV-preventive attitudes, intentions and self-efficacy exhibited as much, or greater, variability within persons as compared to between persons. Positive affect was found to significantly co-vary with self-efficacy to practice safer sex B=0.20, t((199))=2.14, p=0.03. For each unit increase in daily positive affect, daily self-efficacy increased by 0.20. Results suggest that a daily diary methodology is both feasible in a high-risk population and may offer new insights into understanding unprotected sexual behavior.

摘要

开展了一项试点研究,以评估在多重弱势人群中使用电子日常日记来检验将情感状态与避孕套使用的社会心理决定因素的变异性联系起来的假设的可行性。21名大多为非白种人、报告有严重经济劣势、大量饮酒且感染艾滋病毒的个体,连续三周每天完成一项基于电话的5 - 7分钟交互式语音应答(IVR)调查。在艾滋病毒预防态度、意图和自我效能方面观察到了潜在的与情感相关的个体内部变异性。令人惊讶的是,在这个样本中,艾滋病毒预防态度、意图和自我效能在个体内部的变异性与个体之间的变异性一样多,甚至更大。发现积极情感与进行更安全性行为的自我效能显著共同变化(B = 0.20,t((199))= 2.14,p = 0.03)。每日积极情感每增加一个单位,每日自我效能增加0.20。结果表明,日常日记方法在高危人群中是可行的,并且可能为理解无保护性行为提供新的见解。

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